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General NPI Number Information
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NPI Number | 1619739943
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Entity Type | Organization
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Legal Business Name | COHEN FASHION OPTICAL, LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 100 QUENTIN ROOSEVELT BLVD STE 400
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City | GARDEN CITY
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State | NY
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Zip | 11530-4843
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Country | US
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Telephone | 516-465-6905
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Fax |
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Provider Business Mailing Address
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Address Line | 100 QUENTIN ROOSEVELT BLVD STE 400
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City | GARDEN CITY
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State | NY
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Zip | 11530-4843
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Country | US
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Telephone | 516-465-6905
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARY OSHEA
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Credential |
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Telephone | 646-413-4186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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